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General NPI Number Information
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NPI Number | 1265226740
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Entity Type | Individual
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Provider Name | JOSE ANTONIO REYES
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Gender | Male
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 10500 YUKON AVE
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City | INGLEWOOD
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State | CA
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Zip | 90303-2003
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Country | US
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Telephone | 310-680-5230
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Fax |
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Provider Business Mailing Address
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Address Line | 15930 LA FORGE ST APT L
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City | WHITTIER
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State | CA
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Zip | 90603-2598
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Country | US
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Telephone | 415-260-7785
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 220235106
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License Number State | CA
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